Expanding Technology-Enabled Nurse-Delivered Chronic Disease Care: EXTEND

Area of Science:

• Digital Health
• Chronic Disease Management
• Telehealth Interventions

Background:

• Mobile monitoring technologies offer potential to improve telehealth for chronic illness.
• Effective integration into clinical workflows is crucial for widespread adoption.

Purpose of the Study:

• To compare two 24-month interventions for chronic illness care.
• To evaluate the efficacy of a telehealth intervention (EXTEND Plus) integrating mobile monitoring, self-management, and medication management for uncontrolled diabetes and hypertension.

Main Methods:

• A randomized trial (N=220) comparing two interventions: EXTEND (mobile monitoring self-management) and EXTEND Plus (telehealth with mobile monitoring, self-management, and medication management).
• The EXTEND Plus intervention was delivered by nurses and pharmacists over 12 months, followed by 12 months of self-management.
• A pragmatic approach was used to integrate the intervention into existing clinical infrastructure.

Main Results:

• Data on patient outcomes and intervention effectiveness were collected over 24 months.
• The study assessed the impact of mobile monitoring-enabled telehealth on chronic disease management.

Conclusions:

• The EXTEND Plus intervention represents a pragmatic strategy for integrating advanced telehealth solutions into routine care.
• Mobile monitoring-enabled telehealth interventions can potentially enhance the management of chronic conditions like diabetes and hypertension.